PMID- 35234524 OWN - NLM STAT- MEDLINE DCOM- 20220418 LR - 20220602 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 50 IP - 5 DP - 2022 Apr TI - Midterm Outcomes After Hip Labral Augmentation in Revision Hip Arthroscopy. PG - 1299-1305 LID - 10.1177/03635465221080162 [doi] AB - BACKGROUND: Labral augmentation has emerged as an essential procedure to address a deficient or irreparable labrum while preserving native labral tissue and restoring the hip suction seal mechanism. PURPOSE: To evaluate midterm outcomes of arthroscopic hip labral augmentation for labral insufficiency after previous hip arthroscopy. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Patients were identified from a prospectively collected database who underwent arthroscopic hip labral augmentation between January 2011 and January 2017 with a minimum 3-year follow-up. Pre- and postoperative patient-reported outcome scores were compared and included the 12-Item Short Form Health Survey physical and mental component summaries, Western Ontario and McMaster Universities Osteoarthritis Index, modified Harris Hip Score (mHHS), and Hip Outcome Score (HOS) (Activities of Daily Living [ADL] and Sport). Postoperative Tegner Activity Scale and patient satisfaction (1-10) scores were also evaluated. The minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) between the preoperative and minimum 3-year follow-up scores were calculated. RESULTS: A total of 88 patients (39 men, 49 women) underwent revision hip arthroscopy with labral augmentation. The average age was 32.8 +/- 11 years. Of these, 77 patients (88%) were available for the minimum 3-year follow-up. The survivorship (absence of conversion to total hip arthroplasty) at 3 years and 5 years was 93% at both time points, with a mean survival time of 8.5 years (95% CI, 8.0-8.9). Eleven patients (14%) required revision arthroscopic surgery for continued pain. Revisions occurred at a mean of 2.6 +/- 1.4 years after augmentation. The mean follow-up was 5.2 +/- 1.2 years (range, 3-9 years). For patients not requiring subsequent surgery (n = 61), all patient-reported outcome measures significantly improved, which included a 20-point increase in HOS-ADL (MCID, 82%; PASS, 72%) and mHHS (MCID, 78%; PASS, 70%). The median postoperative Tegner score was 4 (range, 1-10). The median postoperative patient satisfaction score was 9 out of 10 (range, 1-10). CONCLUSION: Arthroscopic hip labral augmentation is a successful treatment option for patients with labral insufficiency after previous hip arthroscopy, demonstrating improved patient-reported outcomes and survivorship of 93% at 3 years and 5 years. This technique provides a valuable labral preservation option when addressing hip labral pathology when viable native labral tissue remains. FAU - Soares, Rui W AU - Soares RW AD - Steadman Philippon Research Institute, Vail, Colorado, USA. AD - Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA. AD - Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA. FAU - Ruzbarsky, Joseph J AU - Ruzbarsky JJ AD - Steadman Philippon Research Institute, Vail, Colorado, USA. AD - Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA. FAU - Arner, Justin W AU - Arner JW AD - Steadman Philippon Research Institute, Vail, Colorado, USA. AD - Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA. AD - Burke and Bradley Orthopaedics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. FAU - Comfort, Spencer M AU - Comfort SM AD - Steadman Philippon Research Institute, Vail, Colorado, USA. FAU - Briggs, Karen K AU - Briggs KK AD - Steadman Philippon Research Institute, Vail, Colorado, USA. FAU - Philippon, Marc J AU - Philippon MJ AD - Steadman Philippon Research Institute, Vail, Colorado, USA. AD - Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA. LA - eng PT - Journal Article DEP - 20220302 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Activities of Daily Living MH - Adult MH - *Arthroplasty, Replacement, Hip MH - Arthroscopy/methods MH - Female MH - *Femoracetabular Impingement/surgery MH - Follow-Up Studies MH - Hip Joint/surgery MH - Humans MH - Male MH - Retrospective Studies MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - acetabular labrum OT - femoroacetabular impingement OT - hip arthroscopy OT - hip pain OT - labral augmentation EDAT- 2022/03/03 06:00 MHDA- 2022/04/19 06:00 CRDT- 2022/03/02 12:18 PHST- 2022/03/03 06:00 [pubmed] PHST- 2022/04/19 06:00 [medline] PHST- 2022/03/02 12:18 [entrez] AID - 10.1177/03635465221080162 [doi] PST - ppublish SO - Am J Sports Med. 2022 Apr;50(5):1299-1305. doi: 10.1177/03635465221080162. Epub 2022 Mar 2.